Under-Resourced Learners Summit Registration The information requested in the form below will be submitted to staff members of aha! Process. Please Note:  This is a pre-registration action only, and does not confirm a seat in the workshop. Payment arrangements must be received and accepted by aha! Process, Inc. to reserve your seat. When your seat is reserved, you should receive a confirmation within 2 business days. Pre-Registration Form Please take a moment to provide the information that follows (required fields are indicated by ).   Workshop, Date, Location Please make a selection Personal Information Title Mr. Ms. Mrs. Dr. First Name Middle Name Last Name Email Address Mailing Address City State/Province Country Zip/Postal Code Home Phone School or Organization Information Organization or School District School Name (if applicable) School/Org. Mailing Address School/Org. City School/Org. State/Province School/Org. Postal Code School/Org. Phone School/Org. Fax Position with School/Org. Additional Information Are you attending this workshop for recertification for A Framework for Understanding Poverty? Yes    No Payment Information Payment Method Please make a selection Credit Card Purchase Order Purchase Order # (if applicable) Fax purchase order to (281) 426-8705 Questions or request for more information Please make sure @ahaprocess.com is on your "approved sender" list or "whitelist" and/or in your "address book." You should receive a confirmation email at the address you provided above. If you do not see an email from us in your Inbox folder, please check your Spam, Bulk or Junk mail folder as your ISP, software spam-blocker or filters may be diverting our e-mail.